1, the nose is crooked
This situation often occurs in rhinoplasty, which is related to the doctor's experience, the patient's own conditions and the later recovery nursing. Doctors are bound to make mistakes Plastic and cosmetic surgery calls these postoperative defects "secondary deformities after rhinoplasty". If the defect is obvious, we must have another operation to remove, repair or replace the silicone stent.
(1) finishing
If the shape of the nose is from high to low, from long to short, from wide to narrow, and from crooked to straight, solid silica gel can be used to take out the stent to correct the problem and put it back after reaching the ideal shape. This operation is simpler than the first operation, and there will be no obvious swelling reaction after operation, because the tunnel is ready-made
(2) replacement
If you want to change the nose shape from low to high, from short to narrow and wide, you must take out the old one and replace it with a new one. Rhinoplasty stents are generally carved in advance under the stage, sent to disinfection, and can be implanted after the operation (without trimming or slightly trimming). One of the advantages of this is that the operation time is short, and the other is that there is enough time to carefully carve the model under the stage. The "patient" sits next to the doctor, who observes while carving and puts the model on the patient's nose to see if it is suitable. If there is a problem, it can be repaired repeatedly until it is satisfactory. Replace the rhinoplasty bracket Because the old bracket covers the original shape of the nose, the doctor doesn't know what the replaced bracket should be carved, so it's best to bring the original photo before rhinoplasty so that the doctor can have a good idea when carving. Otherwise, we have to take out the old bracket on the operating table, which means that it is being designed and carved more than the original shape.
2, nasal tissue necrosis
After augmentation rhinoplasty with solid silica gel stent, there will never be large area necrosis of nasal tissue, but there are also local ulceration and necrosis, which is mainly due to the inexperience of doctors:
1, the tip of the stent was not smooth and sharp, but the tension was great, and the skin was very thin, and the patient did not pay attention (did not see a doctor in time). Finally, the skin was perforated and silica gel was exposed.
2, the stent is too high, leading to excessive skin tension on the back of the nose, leading to ischemic necrosis and rupture.
3. If infection occurs, timely treatment will lead to ulceration, which is the most serious complication of rhinoplasty. As long as doctors and patients pay attention to prevention, these problems can be completely avoided.
3. Possible sequelae
1, local hematoma after rhinoplasty
Local hematoma will inevitably appear in rhinoplasty, because the blood vessels in the nose are densely covered with honey and the blood supply to the tissue is rich, so hematoma is easy to appear. It should be noted that a small amount of snow and hematoma will not affect the effect of the operation. If there are many hematomas, you must seek medical attention in time, and let the doctor help you eliminate the hematoma professionally to ensure the effect of the operation.
2. Wound infection after rhinoplasty
If the disinfection during rhinoplasty is not strict or the daily care after rhinoplasty is not in place, it will cause wound infection. General fever, increased postoperative pain or skin redness are all manifestations of infection. At this time, it is necessary to seek medical advice in time and take out the prosthesis for anti-inflammatory treatment.
3. Prosthesis is skewed after rhinoplasty.
Prosthesis skew after augmentation rhinoplasty is a common postoperative sequelae. The common manifestation is that after rhinoplasty, when the nose is red and swollen, the tip of the nose is obviously not in the middle, or the alar moves up and down to the middle position. This situation must be repaired again under the guidance of a professional doctor, but the repair time should be in accordance with the doctor's advice.
4. Prosthesis exposure after rhinoplasty
Exposure of prosthesis after rhinoplasty is a serious sequela. Generally, the prosthesis is exposed after augmentation rhinoplasty for a period of time, and it is more common that the prosthesis at the tip of nose and alar tends to protrude upward. In this case, you must see a doctor in time and take out the prosthesis. In addition, if you feel skin thinning, local skin pain, fever, etc. You should also seek medical advice in time.
5. Rejection after rhinoplasty.
Rejection after rhinoplasty is also the sequela of rhinoplasty. Rejection after rhinoplasty refers to local effusion and swelling of the nose. If the situation needs to be improved, the implanted prosthesis needs to be taken out and replaced with its own cartilage or bones in other parts for transplantation.